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  November 5, 2012 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Obama or Romney: How 2012 Elections Will Impact Exchanges

Karen Minich-Pourshadi

The race for the White House isn't the only race healthcare CFOs need to watch. The fate of health insurance exchanges is particularly dependent on which political party controls the Senate. >>>

 

Editor's Picks

Physician Pay Wars' Winners and Losers

Family practitioners stand to receive a 7% reimbursement increase while pathologists will lose almost as much under the final federal fee schedule for physician and specialty provider groups released by the Centers for Medicare & Medicaid Services. >>>

AHA Sues CMS Over Medicare Reimbursements

The American Hospital Association and four health systems claim that the Centers for Medicare & Medicaid Services has violated federal law by declining to reimburse the audited claims of hospitals, even though the claims were ultimately acknowledged by CMS to be reasonable and medically necessary. >>>

Final OPPS Rule Increases Drug Payments

The 2013 Outpatient Prospective Payment System final rule calls for drug reimbursement to hospitals at the average sales price plus 6%. >>>

Recovery Audit Reform Bill Calls for Financial Penalties

Contractors that fail to meet audit deadlines, communicate with hospitals in a timely fashion, or have appeals overturned would have to pay if the Medicare Audit Improvement Act becomes law. >>>

Prompt Pay Law Set to Shift in GA

A new Georgia law that will extend prompt pay regulations from traditional insurers to include third party administrators is pitting payers against providers. >>>

Despite Merger Activity, Negative Credit Conditions Persist

Healthcare consolidation, long predicted, is finally exploding. But the industry still faces stiff headwinds in creditworthiness. Why? >>>



Intelligence Report

Cost Containment—Targeting Cuts, Enhancing Efficiency and Using IT

Healthcare leaders who have cut millions in costs reveal how to improve efficiency through process improvements and targeted cuts based on hard data. This original research and analysis, offers key insight from leading organizations, including new case studies from Beaumont Health System, Pocono Health System, and Southwest General Health Center.

 

News Headlines

Future of healthcare exchanges on the line

Omaha World-Herald, November 5, 2012

Mid-America Transplant Services moves into for-profit ventures

St. Louis Post-Dispatch, November 5, 2012

WPAHS' bad debt growing nationally

Pittsburgh Post-Gazette, November 5, 2012

Hospital 'facility fees' charges spur calls for scrutiny

The Seattle Times, November 5, 2012

LSU health head works at '80 percent'

The Advocate / Capital City Press, November 5, 2012

TX fire dept joins hospital to reduce ED visits

Midland Report-Telegram, November 5, 2012

AHA sues US over unpaid Medicare

Bloomberg Businessweek, November 2, 2012

Physicians' PACs lay big money on 2012 races

Politico, November 2, 2012

How the health law might be changed by the next president

Kaiser Health News, November 2, 2012

Simple economics behind merger push for Henry Ford, Beaumont

Detroit Free Press, November 2, 2012



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Multimedia/Events

Rounds: Cancer Service Line Leadership—Baylor Health Care System

Date: Nov. 6, 2012, 11:00-2:00 p.m. CT

Baylor Health Care leaders reveal how they have built a cutting-edge cancer care model that combines personalized guidance, tailored treatment, and opportunities to participate in clinical trials of new treatments. Get real-world solutions, interactive Q&A, and lessons learned, including how to and combine the best aspects of academic and private practice cancer models to serve patients better.

Register Today

Download Free Case Study



From HealthLeaders Magazine

 

Placing Your Bets

Value-based care is here and standing pat is not a viable option. Yet healthcare leaders face substantial risks for generations to come as they develop new businesses and clinical relationships to gain tighter control of the care continuum. >>>

 

Opportunities in the Cloud

 

Taking Charge of the Physician Shortage



Sponsor this Newsletter

Contact Paul Mattioli, Sr. Director of Sales, at pmattioli@healthleadersmedia.com or call 800.639.7477.

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